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目的 :探讨鼻咽癌放疗后治疗鼻腔粘连的最佳手术方法。方法 :采用腭间径路手术治疗鼻咽癌放疗后鼻腔粘连 4例 ;鼻内窥镜引导下鼻内径路手术 32例 ,术后 2 6例放置硅胶扩张管 ,6例未置管。并对其治疗效果进行观察分析。结果 :腭间径路鼻腔置管成形术效果良好 ,但术程复杂 ,损伤大 ;鼻内窥镜下单纯鼻腔粘连分离术术式简单 ,但复发率较高 ;鼻内窥镜下鼻腔置管成形术不但简化了手术 ,而且有良好的效果。结论 :鼻内窥镜下鼻腔置管成形术是鼻咽癌放疗后治疗鼻腔粘连的优选术式。
Objective: To explore the best surgical treatment for nasopharyngeal carcinoma after radiotherapy for nasopharyngeal carcinoma. Methods: Nasal cavity adhesions were performed in 4 cases of nasopharyngeal carcinoma after radiotherapy by palate interphalangeal approach. Thirty-two cases of nasal endoscopic guided nasal endoscopic surgery were performed. Twenty-six cases were placed with silicone expansion tube and 6 cases were uninjured. And the treatment effect was observed and analyzed. Results: The method of nasal cannulation with palatal pathway was effective, but the procedure was complicated and the injury was large. Simple endoscopic nasal adhesions under nasal endoscopy was simple, but the recurrence rate was high. Nasal endoscopic nasal catheterization Surgery not only simplifies the operation, but also has good results. Conclusion: Nasal endoscopic nasal cannulation angioplasty is the optimal surgical treatment of nasal cavity adhesions after radiotherapy.